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Scheduling WELLNESS visits, June 2018

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The WELLNESS visit is a “no hands” on visit. This visit is not the same as a traditional physical exam which is a hands-on exam.  A patient wellness visit is a visit to identify high risk behaviors, provide advice on lifestyle and preventative screenings, and to build a relationship with the patient.

Frequently, there is no copay or deductible required for the patient… it is a “free” visit for the patient. Medicare plans pay for 100% of an annual visit with reimbursement codes G0438 and G0439.  Many other plans cover the wellness visit with a variety of codes.  (Physician practices need to confirm with plan providers.)

Consider reaching out to patients who are overdue for preventative measures and schedule them for a yearly wellness visit.  Many physicians find open times in their schedules in the first several months of the year because of the reset of plan deductibles.  Since this evaluation does NOT involve a deductible or copay in most plans, it’s a great opportunity to complete preventative measures that benefit the patient and help physicians provide quality care to their patient population.

This is a great time for primary care physicians to review preventative measures (which are included in pay for performance programs) as well as provide personalized preventative health advice.  An updated health information form could be sent to patients ahead of scheduled appointment times to be filled out prior to the visit.

The Physician Alliance continues to work with physician members and their practice staffs to help close gaps in care. If you have not ordered Wellness exam reminder posters yet for your practice, these forms are complimentary for The Physician Alliance members.  To place an order, go to The Physician Alliance website, click on Learning Center tab, and then click patient education materials.  Or click here.

In addition to the wellness exam posters, The Physician Alliance has created healthy lifestyle self- management forms for both adults and pediatric patients that can be given out to patients during these visits.

This blog is for informational purposes only and should not be considered medical advice. Please consult your doctor for more information or if you have a medical concern.

To read additional blog articles, please visit our Blog archives page.

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